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BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements go to: www.edmondswa.gov.
To apply for permits, schedule inspections, or check application status
go to: www.mvbuildingnermit.com
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job site Address: 100 2nd Ave S, Edmonds, WA
Parcel: 00454800200901
Lot /Unit/Suite #: Subdivision:
BUSINESS OR PROPERTY OWNER:
Name: HASSHB LLC
Mailing Address: 3727 S 194TH STREET
City/state/zip: SEATAC, WA 98188
Phone #:
Email
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? Yes No
I own, reside in, or will reside in the completed structure. This
installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange according to RCW
18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION:
Name of Applicant: Linda Williams, Agent
Mailing Address: 12672 Limonite Avenue, 3E-185
City/State/Zip: Eastvale, CA 92880
Phone #: 949-373-6377
E-mail: linda@amwireco.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: Mastec Network Solutions
Mailing Address:22263 68th Avenue, S
City/state/zip: Kent, WA 98032-RECEIVI
Phone #: 949-373-6377
'I'IT4/22
E-mail: linda@amwireco.com
STATE UBI #: 603 235 974 - PCANI T46
nw-i no"L
CITY OF EDMONDS BUSINESS LICENSE #:
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
05-14-2023
Office Use Only
Permit #: BLD2022-1516
OF PERMIT (Provide
DetailsTYPE
❑Accessory Structure/
Addition
❑
Detached Garage
Demolition
Mechanical
❑ New Single Family/Duplex
Plumbing
Fire Sprinkler
Remodel
New Commercial/Mixed Use
Re -Roof
Signs
❑ Tank
❑ Tenant Improvement
❑ Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED•UARE FOOTAGE FORAPPLICATION
Basement sq ft: Finished❑ Unfinished❑
1st Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
# of NEW Bedrooms: # of NEW Bathrooms:
PROJECT
Decommission Sprint Rooftop Telecom Facility
Remove all Sprint Antennas & Ground Equipment
and close down site
See Attachment "A", made a part of this Applicatio
�13
Is I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name: Linda Williams, Agent
Digitally signed by Linda Williams
Linda Williams Date ;2022,11,03112:16:16 11-3-22
Signature: -o,'00 -Date
I
COMMERCIALGENERAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes❑ No❑
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
EQUIPMENTMECHANICAL •
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE
Qty Qty
Clothes Washer Tub/ Showers
Dishwasher Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain Pressure Reduction/ Regulator
Floor Drain/Sink Refrigerator Water Supply
Hose Bibs Water Heater - Tankless? Y or N CITY F EDM
P ANNIN t
I
Hydronic Heat Water Service Line
Sinks Other:
Toilets Other:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL•
Relocated or re piped)
Qty Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y❑/ N❑
PSCAA Case #:
Critical Areas Determination:
Study Required Conditional Waiver El Waiver❑
Fill in Place ❑ Fill Material:
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required Conditional Waiver Waiver
Grading: Cut cubic yards
FIII cubic yards
OR(f_
Fill in Critical Area: Yes No
❑ ❑
GENERAL • •
T APPLICATIONS: Applications are valid for a maximum of 1 year.
tSLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
ATTACHMENT "A"
PROJECT DESCRIPTION
Project Name: DECOMMISSION SPRINT ROOFTOP TELECOM
FAC I LTY
Site Name: EDMONDS
Site Address: 100 2ND AVENUE SOUTH, EDMONDS, CA 98020
GPS Location: LAT: 47.811708' N / LONG-122.3810230 W
Site Type: UNMANNED TELECOMMUNICATIONS FACILITY
ROOFTOP
SPRINT ROOFTOP TELECOM FACILITY IS CANCELED. REMOVE ALL
ROOTOP AND GROUND EQUIPMENT, INCLUDING, BUT NOT LIMITED
TO:
(6) REMOVE PANEL ANTENNAS, PIPE MOUNTS, LINES
(6) REMOVE RRHS
(3) REMOVE HYBRID LINES
(2) REMOVE CABINETS
(1) REMOVE TELCO BOX
(1) REMOVE PPC
REMOVE CONDUITS, CABLE TRAYS, PLATFORMS, SECTOR FRAMES,
CLEAR SITE.
RECEIVED
11 /4/22
CITY OF EDMONDS
PLANNING &
DEVELOPMENT
Cascade #: SE03XC552
Address Owner Name Company Or Trust APN
100 2nd Avenue south Edmonds, WA SEARCH
Property Map
Aerial Birds -Eye Road Street View Parc
Property Information
Back
100 2Nd Ave S, Edmonds, WA 98020 PRINT/EMAIL PROPERT
County Data Last Updated: 10/26/2022
Property Detail Sales Comparables Property History Parcel Map Valuation Report Data Issue
PROPERTY DETAIL19
GENERAL
Type:
Commercial (Miscellaneous)
Year Built:
1974
Rooms:
Parcel #:
004548-002-009-01
Beds:
County:
Snohomish
Baths:
-
Zoning:
BD2
SgFt (Structure):
23,840
Tract:
050500
SgFt (Lot):
6,534
RECEIVE
Stories:
3
Garage:
0
11 /4/21?ireplace
Number of Units:
2
R "-C .
CITY OF EDMONUS
OWNERSHIP
O
PLANNING &
DEVELOPMENT
Primary Owner:
Hasshb Llc
Mail Address:
3727 S 194Th St, Seatac, WA 98188
Secondary Owner:
-
Vesting:
Corporation
Legal:
GEPHARTS 1ST ADD TO EDMONDS BLK 002 D-01 - ALL OF LOT 9 & 10 LESS W 17 FT OF N 40FT
SALE & LOAN
Last Sale Amount:
$3,500,000 View Sale History
Loan Type:
Last Sale Date:
12/16/2009
Lender:
Document #:
2009.12.21.359 Click to view recorded document
ASSESSMENT & TAX
Value (Structure):
$3,154,800
Tax Amount: $31,802
Value (Land):
$653,200
Tax Area: 00210
Percent Improved:
83
Exemption: -
Value (Total):
$3,808,000 View Sales Comparables
Data deemed reliable, but not guaranteed. Disclaimer
RECEIVED
11 /4/22
CITY OF EDMONDS
PLANNING &
DEVELOPMENT
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